1.5 Maternal Physio Flashcards

1
Q

weight and volume of uterus in nonpregnant

A

70 g; less than or 10 ml

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2
Q

weight and volume of uterus at term

A

1100g; 5-20L

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3
Q

Uterine enlargement involves:

A

stretching and hypertrophy of muscle cells

increase elastic tissue

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4
Q

During the 1st 3 months (12wks), what causes uterine enlargement

A

estrogen

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5
Q

What causes After 12 weeks, what causes uterine enlargement

A

mechanical distention

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6
Q

3 layers of muscle cells in uterus

A

Outer hoodlike layer
Middle layer (densely vascularized and MOST important layer
Internal Layer

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7
Q

softening of isthmus

A

Hegar’s Sign

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8
Q

painless uterine contraction WITHOUT cervical dilatation

A

Braxton Hicks Contraction

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9
Q

week when uterus becomes an ABDOMINAL organ

A

12th week

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10
Q

week when Hegar’s sign is detectable

A

6th-8th week

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11
Q

week when uterus is at the level of the umbilicus and undergoes dextrorotation

A

20 weeks

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12
Q

how do you measure fundic height

A

from upper border of symphysis pubis to fundus

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13
Q

when do you measure fundic ht?

A

18-32 weeks

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14
Q

weeks when measurement of fundic ht may be used as an estimate for AOG in weeks

A

20-34 weeks

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15
Q

True or False. In pre-eclampsia, there is refractoriness to vasoconstrictor effects of A II

A

False

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16
Q

softnening of the cervix

A

Goodell’s sign

17
Q

week when Goodell’s sign is detectable

A

6th-8th week

18
Q

changes in CERVIX during pregnancy

A
softening
cyanosis
increased vascularity
edema
hypertrophy and hyperplasia of cervical glands (cervical eversion)
mucus plug (bloody show)
19
Q

source of progesterone at 6th-7th week of pregnancy

A

Corpus luteum of pregnancy

20
Q

source of progesterone after 7th week of pregnancy

A

placenta

21
Q

exaggerated luteinization reaction of normal ovary

A

Luteoma of pregnancy

22
Q

benign ovary lesion from exaggerated physiologic follicle stimulation

A

theca lutein cyst

23
Q

increased vascularity and violaceous coloration of vagina

A

Chadwick’s sign

24
Q

Changes in vaginal wall during pregnancy

A

increased mucosa lthickness
loosening of connective tissue
hypertrophy of smooth muscle
incresed vol of cervical secretion in vagina

25
Q

pH during pregnancy

A

3.5-6

26
Q

stretch marks

A

Striae Gravidarum

27
Q

dark discoloration of face and neck

A

Chloasma, Melasma Gravidarum

28
Q

average weight gain if BMI before pregnancy is normal

A

27.5 lbs or 12.5 kg

29
Q

changes in water metabolism

A

increased H2O retention
decreased plasma osmolality
pitting edema

30
Q

cause of pitting edema

A

increased venous pressure due to partial occlusion of vena cava bby gravid uterus

31
Q

increase or decrease during pregnancy

  • protein
  • insulin
  • human placental lactogen
  • Na
  • K
  • Ca
  • Mg
A
increased protein
increased leptin
increased HPL
increased N and K
decreased Ca and Mg